Organization
CARONDELET PHYSICIAN SERVICES INC.
Active
Parent organization
CARONDELET HEALTH
Other names
Saint Joseph Family Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARONDELET HEALTH
Authorized official
MR. STEVEN R CLEARY (CFO)
(816) 943-2819
Entity
Organization
Contact information
Practice address
14880 METCALF AVE, OVERLAND PARK, KS 66223-2206
(913) 897-1151
(913) 897-1150
Mailing address
801 NW SAINT MARY DR, SUITE 230, BLUE SPRINGS, MO 64014-2524
(816) 655-5792
(816) 655-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0431315
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39532013
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/01/2008
Last updated
07/29/2010
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